Please see the systematic review and meta-analysis below on use of antibiotics as a diagnostic tool for pulmonary TB. The results of the study show that the current policy and practice regarding the trial of antibiotics appear inappropriate, given the weak evidence base, poor diagnostic performance, potential contribution to the global antimicrobial resistance crisis, and adverse individual and public health consequences.
https://www.thelancet.com/pdfs/journals/laninf/PIIS1473-3099(20)30143-2.pdf